Is my anterior nasal spine to low? (Photos)

Question

Hi! Wondering what can be done to have my lip not be so low when I smile. The center of my top lip doesn’t have the ability to rise up with the rest of my lip when i smile I think because of the anterior nasal spine? At least that’s what I am guessing? It’s not that my lip sags ( although I have extra skin flap under my top lip wich is also annoying) it’s that my lip doesn’t rise up and go straight across. The center of my lip right under the nasal bone can’t rise up any higher, and then when I smile I can hardly see my top front teeth. Please help with suggestion!!

Eric M. Joseph, MD · Answer

That said, I am not completely certain that rhinoplasty surgery, with anterior nasal spine removal, would increase the distance that your upper lip lifts, with smiling. If you are happy with the appearance of your nose, perhaps you may consider visiting a cosmetic dentist, for consideration of making your central incisors a bit longer. I hope this helps you. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. The anterior nasal spine can be raised during surgery.. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

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